National Provider Identifier [NPI]: |
1134205909 |
Last Name Of The Provider |
ALGUIRE |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 BRADFORD ST NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495256427 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
3257 |
Number Of Medicare Beneficiaries |
1874 |
Total Submitted Charge Amount |
390885 |
Total Medicare Allowed Amount |
195870.75 |
Total Medicare Payment Amount |
142389.2 |
Total Medicare Standardized Payment Amount |
148169.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3257 |
Number Of Medicare Beneficiaries With Medical Services |
1874 |
Total Medical Submitted Charge Amount |
390885 |
Total Medical Medicare Allowed Amount |
195870.75 |
Total Medical Medicare Payment Amount |
142389.2 |
Total Medical Medicare Standardized Payment Amount |
148169.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
653 |
Number Of Beneficiaries Age 75 to 84 |
594 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
866 |
Number Of Male Beneficiaries |
1008 |
Number Of Non Hispanic White Beneficiaries |
1690 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1449 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
425 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8067 |